PDF(Pubmed)
Abstract：
UNASSIGNED: Using meaningful activities as a treatment modality is characteristic of occupation-based intervention (OBI). The benefits of OBI have been described, but not the effectiveness thereof. The aim of this review was to assess the effectiveness of OBI in relation to the type, commencement, duration and outcomes as reported in literature.
UNASSIGNED: A comprehensive search of electronic databases was conducted, including EBSCOHost, PubMed, Cochrane Register for Controlled Trials, Web of Science, OTSeeker, PEDro and Google Scholar. Search terms included \'occupation-based\', \'occupation-centered\', \'intervention\', \'upper limb\' and \'outcome measures\'. Studies including OBI for neurological or paediatric cases were excluded.
UNASSIGNED: Twelve studies met the inclusion criteria. Using the PEDro scale, three of the studies, all randomised controlled trials (RCTs), were viewed as high quality, one of fair and one of poor quality. Due to the heterogeneity of the studies, a meta-analysis was not possible, and a narrative synthesis is presented. Five studies used interviewing together with the Canadian Occupational Performance Measure (COPM) to determine the client\'s occupational profile when choosing meaningful activities. The commencement and duration of OBI varied amongst the studies, and a variety of outcome measures were used to determine the effectiveness of OBI.
UNASSIGNED: OBI used together with biomechanical approaches shows promising effectiveness. Outcome measures such as the COPM and the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH) that measure activity and participation, should be employed in client-centered practice. More robust scientific evidence regarding the effectiveness of OBI is needed.
UNASSIGNED: A comprehensive search of electronic databases was conducted, including EBSCOHost, PubMed, Cochrane Register for Controlled Trials, Web of Science, OTSeeker, PEDro and Google Scholar. Search terms included \'occupation-based\', \'occupation-centered\', \'intervention\', \'upper limb\' and \'outcome measures\'. Studies including OBI for neurological or paediatric cases were excluded.
UNASSIGNED: Twelve studies met the inclusion criteria. Using the PEDro scale, three of the studies, all randomised controlled trials (RCTs), were viewed as high quality, one of fair and one of poor quality. Due to the heterogeneity of the studies, a meta-analysis was not possible, and a narrative synthesis is presented. Five studies used interviewing together with the Canadian Occupational Performance Measure (COPM) to determine the client\'s occupational profile when choosing meaningful activities. The commencement and duration of OBI varied amongst the studies, and a variety of outcome measures were used to determine the effectiveness of OBI.
UNASSIGNED: OBI used together with biomechanical approaches shows promising effectiveness. Outcome measures such as the COPM and the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH) that measure activity and participation, should be employed in client-centered practice. More robust scientific evidence regarding the effectiveness of OBI is needed.
摘要：
■使用有意义的活动作为治疗方式是基于职业的干预（OBI）的特征。已经描述了OBI的好处，但不是其有效性。这项审查的目的是评估OBI与类型相关的有效性，开始,文献报道的持续时间和结果。
■对电子数据库进行了全面搜索，包括EBSCOHost,PubMed,Cochrane受控试验登记簿,WebofScience,OTSeeker,PEDro和谷歌学者。搜索词包括\'基于职业的\'，\'以职业为中心\',\'干预\',“上肢”和“结果测量”。排除了包括用于神经系统或儿科病例的OBI在内的研究。
■12项研究符合纳入标准。用PEDro秤,其中三项研究，所有随机对照试验（RCT），被认为是高质量的，一个公平，一个质量差。由于研究的异质性，荟萃分析是不可能的，并提出了叙事综合。在选择有意义的活动时，有五项研究与加拿大职业绩效评估（COPM）一起进行了访谈，以确定客户的职业概况。OBI的开始和持续时间在研究中有所不同，并使用各种结果指标来确定OBI的有效性。
■OBI与生物力学方法一起使用显示出有希望的有效性。成果措施，如COPM和手臂残疾，测量活动和参与的肩手问卷(DASH)，应该在以客户为中心的实践中使用。需要关于OBI有效性的更有力的科学证据。
■对电子数据库进行了全面搜索，包括EBSCOHost,PubMed,Cochrane受控试验登记簿,WebofScience,OTSeeker,PEDro和谷歌学者。搜索词包括\'基于职业的\'，\'以职业为中心\',\'干预\',“上肢”和“结果测量”。排除了包括用于神经系统或儿科病例的OBI在内的研究。
■12项研究符合纳入标准。用PEDro秤,其中三项研究，所有随机对照试验（RCT），被认为是高质量的，一个公平，一个质量差。由于研究的异质性，荟萃分析是不可能的，并提出了叙事综合。在选择有意义的活动时，有五项研究与加拿大职业绩效评估（COPM）一起进行了访谈，以确定客户的职业概况。OBI的开始和持续时间在研究中有所不同，并使用各种结果指标来确定OBI的有效性。
■OBI与生物力学方法一起使用显示出有希望的有效性。成果措施，如COPM和手臂残疾，测量活动和参与的肩手问卷(DASH)，应该在以客户为中心的实践中使用。需要关于OBI有效性的更有力的科学证据。
